Evidence map›Paper›PMID 27138583›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2016

Racial/Ethnic Disparities in Survival Among Patients With Young-Onset Colorectal Cancer.

Andreana N Holowatyj, Julie J Ruterbusch, Laura S Rozek, Michele L Cote, Elena M Stoffel

Registry-linked trialAbstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07215000 (Cleansing Options in Outpatient Setting to Improve Tolerance), which is not on this map. Cited by 94 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07215000 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Cleansing Options in Outpatient Setting to Improve Tolerance (COOP SIT) Trial

TypeinterventionalSponsorMorehouse School of MedicineRan2025 to 2027Enrolled300ConditionsColorectal Cancer Screening, Bowel Cleansing for ColonoscopyArmsGolytely, Sulfave, Sutab
3 · Its place in the literature

Who cites it

94 citing papers in PubMed, 1 synthesis or guideline pooled it, 142 citations in OpenAlex.

  1. Pooled it
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  15. The complement system in intestinal inflammation and cancer.The Journal of clinical investigation · 2025
    Review
  16. Review
  17. Early-Onset Colorectal Cancer: From Genetic Discovery to Clinical Innovation.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2025
    Review
  18. Article
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  20. Article

34 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Andreana N HolowatyjAndreana N. Holowatyj, Julie J. Ruterbusch, and Michele L. Cote, Wayne State University School of Medicine; Andreana N. Holowatyj and Michele L. Cote, Barbara Ann Karmanos Cancer Institute, Detroit; Laura S. Rozek, University of Michigan School of Public Health; and Elena M. Stoffel, University of Michigan Health System, Ann Arbor, MI.
Julie J RuterbuschAndreana N. Holowatyj, Julie J. Ruterbusch, and Michele L. Cote, Wayne State University School of Medicine; Andreana N. Holowatyj and Michele L. Cote, Barbara Ann Karmanos Cancer Institute, Detroit; Laura S. Rozek, University of Michigan School of Public Health; and Elena M. Stoffel, University of Michigan Health System, Ann Arbor, MI.
Laura S RozekAndreana N. Holowatyj, Julie J. Ruterbusch, and Michele L. Cote, Wayne State University School of Medicine; Andreana N. Holowatyj and Michele L. Cote, Barbara Ann Karmanos Cancer Institute, Detroit; Laura S. Rozek, University of Michigan School of Public Health; and Elena M. Stoffel, University of Michigan Health System, Ann Arbor, MI.
Michele L CoteAndreana N. Holowatyj, Julie J. Ruterbusch, and Michele L. Cote, Wayne State University School of Medicine; Andreana N. Holowatyj and Michele L. Cote, Barbara Ann Karmanos Cancer Institute, Detroit; Laura S. Rozek, University of Michigan School of Public Health; and Elena M. Stoffel, University of Michigan Health System, Ann Arbor, MI.
Elena M StoffelAndreana N. Holowatyj, Julie J. Ruterbusch, and Michele L. Cote, Wayne State University School of Medicine; Andreana N. Holowatyj and Michele L. Cote, Barbara Ann Karmanos Cancer Institute, Detroit; Laura S. Rozek, University of Michigan School of Public Health; and Elena M. Stoffel, University of Michigan Health System, Ann Arbor, MI. estoffel@med.umich.edu.
Wayne State University · US

Funding

Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI PAUL M STEMMER · 1985 to 2026
$68.4M
TRAINING PROGRAM IN THE BIOLOGY OF CANCERT32CA009531 · NCI · WAYNE STATE UNIVERSITY · PI Larry H Matherly · 1985 to 2026
$5.3M
Genetic Testing and Cancer Screening in Hereditary Cancer SyndromesK07CA120448 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI STOFFEL, ELENA MARTINEZ · 2007 to 2011
$753k
NCI NIH HHS K07 CA120448NCI NIH HHS P30 CA022453NCI NIH HHS T32 CA009531
6 · The paper itself

Abstract

purposeRacial disparities in colorectal cancer (CRC) persist, despite overall reductions in morbidity and mortality. In addition, incidence is rising among individuals younger than 50 years of age. We compared the survival of young-onset CRC among non-Hispanic black (NHB), non-Hispanic white (NHW), and Hispanic individuals. PATIENTS AND

methodsUsing the National Cancer Institute's Surveillance, Epidemiology, and End Results program data, we identified individuals between the ages of 20 and 49 years, diagnosed with CRC between 2000 and 2009. Survival rates and Cox proportional hazards models were used to compare stage-specific 5-year survival among NHBs, NHWs, and Hispanics.

resultsWe identified 28,145 patients with young-onset CRC (19,497 NHW; 4,384 NHB; 4,264 Hispanic) during the 10-year study period. Overall survival at 5 years after CRC diagnosis was 54.9% among NHB, 68.1% among NHW, and 62.9% among Hispanic individuals (P < .001). NHB individuals had a significantly higher hazard of cancer-specific death compared with NHWs after adjusting for age, sex, race, stage, county-level poverty, and treatment history in cases of colon (hazard ratio [HR], 1.35; 95% CI 1.26 to 1.45) and rectum/rectosigmoid junction (HR, 1.51; 95% CI, 1.37 to 1.68) cancers, whereas there was no significant difference in survival between NHWs and Hispanics. The greatest racial disparities in cancer-specific survival were observed among NHB and NHW patients diagnosed with stage II cancers of the colon (HR, 1.69; 95% CI, 1.33 to 2.14) and stage III cancers of the rectum (HR, 1.98; 95% CI, 1.63 to 2.40).

conclusionSurvival after CRC diagnosis at a young age is significantly worse among NHBs compared with NHWs, even among patients with early-stage disease. Further study is needed to determine whether differences in tumor biology and/or treatment are associated with racial disparities in outcomes, which would have implications for CRC treatment and prevention.

Indexed as

Health Status DisparitiesAdultAge of OnsetBlack PeopleColorectal NeoplasmsFemaleHispanic or LatinoHumansMaleMiddle AgedProportional Hazards ModelsWhite People

Identifiers

PMID27138583
PMCPMC4962705
OpenAlexW2345372091

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.